This paper considers the debate surrounding the elucidation of Laka-tosian novel facts in Keynesian macroeconomics. An analysis of this debate highlights how, in the process of using methodologies to appraise economics, economic methodologists have been forced into adopting the methodology of historiographic research programmes (MHRP) as a method of appraising methodologies. It is argued here that the failure to find Lakatosian novel facts in Keynesian macroeconomics has prompted economic methodologists to consider the appropriateness of MHRP as a method of meta-methodological (...) appraisal. This paper suggests that the failure to find Lakatosian novel facts in economics must necessarily lead economic methodologists into a Kuhnian-type investigation of what it is that economists actually do. (shrink)

McGovern, Kevin When a girl or woman has an unplanned pregnancy, her choices are to keep the child, to give the child for adoption, or to have an abortion. The best outcome is any situation which allows her to keep and successfully raise the child. When this is not possible, this article argues that modern open adoption is a better outcome for both the woman and her child than abortion. In making this argument, this article reviews the complex social (...) history of adoption in Australia. (shrink)

McGovern, Kevin In December 2008, the US President's Council on Bioethics issued a White Paper titled 'Controversies in the Determination of Death.'1 Responding to contemporary critiques of the concept of brain death, the Council upholds the validity of this neurological standard for determining death. Significantly, it also proposes replacing the existing explanation of this standard with a new, very different rationale. As well, it argues that 'total brain failure' is a better name for this condition than 'brain death.' This (...) article summarises and then comments on this important statement. (shrink)

McGovern, Kevin When an unborn child is diagnosed with a life-limiting or life-threatening condition, many people now believe that the best solution is to immediately terminate the pregnancy. This article explores the option of continuing the pregnancy with the support of perinatal palliative care. Many parents have found this alternative fits better with their values, and better honours both their unborn child and their situation as the loving parents of this child. The article also explores the information and support (...) which parents need in order to make a truly informed choice between termination and continuing the pregnancy. (shrink)

McGovern, Kevin Benedict XVI released his third encyclical on 29 June 2009. Its Latin title is 'Caritas in Veritate;' its English title is 'On Integral Human Development in Charity and Truth.' This article explores the significant teachings of this encyclical.

McGovern, Kevin In recent years, some speakers at Catholic conferences and a few articles on Catholic websites and in Catholic newspapers have claimed that brain death is not really death. Some Catholics may be confused by this - particularly if they are asked to agree to the removal of mechanical ventilation or the procurement of organs from a relative or friend who has been declared brain dead. At the same time, these claims might damage the reputation of the Church (...) within the scientific and health care communities. This article reviews what brain death is, and then details Catholic investigations and statements about this concept. (shrink)

McGovern, Kevin; Brussen, Kerri Anne Some vaccines are produced using cell lines which were originally developed from tissue from an aborted foetus. Vaccines are ethically compromised by this connection to abortion. within the Catholic Church, the Pontifical Academy for Life has called for research and development of alternative vaccines which are ethically acceptable. Until alternative vaccines are developed, it has also accepted the use even of these ethically compromised vaccines in order to protect children, pregnant women and the population (...) as a whole from the risk of contracting serious disease. This article explores all these issues from an Australian perspective. (shrink)

McGovern, Kevin This article explores a Report titled 'Dementia: Ethical Issues,' which was produced by the UK Nuffield Council on Bioethics. The Report calls us to examine our attitudes towards both dementia and people with dementia, and to act in solidarity with people with dementia by seeking to include them in mainstream society, and to provide them with sufficient help and services so that they are able to enjoy a good quality of life throughout the course of their illness. (...) It also calls us to act in solidarity with the carers of people with dementia, providing them with help and services both in their caring capacity and also in meeting their personal needs. (shrink)

McGovern, Kevin The Congregation for the Doctrine of the Faith (CDF) released a new Instruction on bioethics on 12 December 2008, and titled it as Dignitas Personae. A brief summary of the new Vatican Instruction on bioethics is presented, which is aimed at contributing to the formation of conscience, and to promote biomedical research which is ethically sound and which truly serves human beings.

McGovern, Kevin This article explores the report of the 2010 independent review committee into Australia's cloning and embryo research laws. Its author, the Director of the Centre, was one of the five members of this committee.

McGovern, Kevin After exploring the sources of Catholic teaching about tube feeding, this article summarises that teaching in four points. Because tube feeding usually offers little if any benefit in advanced dementia, as a general rule a feeding tube is not inserted into these patients.

McGovern, Kevin After a brief account of the Victorian Law Reform Act 2008, this article reports on three responses to this law in the last year. Because Section 8 of this law restricts the healthcare practitioner's usual right of conscientious objection, this article also discusses conscience and conscientious objection.

McGovern, Kevin; Khalafzai, Rida Usman This article explores the new Australian Code for the Responsible Conduct of Research. The Code is addressed to research institutions and researchers. It charges research institutions with the responsibility to develop and maintain a framework of research governance "through which research is assessed for quality, safety, privacy, risk management, financial management and ethical acceptability.

McGovern, Kevin A recent move in Victoria to decriminalise abortion invites reflection on this issue. In this article, I review the history which has led to the present situation, and then offer four comments.

McGovern, Kevin The Victorian Law Reform Commission's Report on Guardianship contains many findings and recommendations about Advance Care Planning. This article considers the most significant of these from the perspective of the teaching of the Catholic Church.

McGovern, Kevin This is an edited record of the presentation given by Revd Kevin McGovern, Director of the Caroline Chisholm Centre for Health Ethics, at the Centre's conference on palliative care on 3 October 2013. It explores the processes, challenges and benefits of Advance Care Planning. It also argues that Advance Care Planning will change the provision of health care significantly.

McGovern, Kevin How might we prepare well for death? And how might we help other people also to prepare well for death? Spiritual guide Henri Nouwen suggests that we should strive to recognise that we are children of God, brothers and sisters of one another, and parents of the generations to come. This article explores what he means.

McGovern, Kevin When we experience serious illness, one of our deepest challenges is to make sense of what is happening to us. This article considers how we might do this. It particularly explores John Paul II's Salvifici Doloris, which suggests that Christians might discover meaning by uniting their sufferings with the sufferings of Christ.

McGovern, Kevin Well-known ABC presenter Caroline Jones has written a memoir about her father's death, and her own long and painful experience of grief afterwards. Titled 'Through a Glass Darkly', her memoir has much to teach us about medical decision-making, chaplaincy and pastoral care, grief, and the search for meaning in life.

McGovern, Kevin The Catholic bishops of England and Wales have issued a guide to the spiritual care of the dying person. It reminds us that spiritual care is an essential part of holistic palliative care, and that every health professional has a role to play in the provision of spiritual care.

McGovern, Kevin This article explores how some of the ethical issues raised by Donation after Cardiac Death are addressed in Australia's new National Protocol. It endorses much of what has been established for the management of professional conflicts of interest, the management of conflicts between the wishes of donor and family, the use of ante mortem interventions, and the determination of death. However, it calls for a 5 minute observation time before the declaration of death, and a stronger statement (...) about conscientious objection. (shrink)

McGovern, Kevin British political strategist Philip Gould was diagnosed with cancer early in 2008. He died towards the end of 2011. Challenging community attitudes about dying with cancer, he insisted in a book-length memoir that this was "the most important ... the most fulfilling and the most inspirational time of my life." This article reflects on Philip's testimony.

McGovern, Kevin This article reviews three statements from the National Health and Medical Research Council on post-coma unresponsiveness (PCU). One of the functions of the NHMRC is to propose standards and guidelines for health care in Australia. The paper explores the causes and neuropathology of PCU, imaging and other tests and prognosis from unresponsiveness.

McGovern, Kevin This is a slightly edited version of a talk given on 23 August 2010 at the Catholic Health Australia National Conference at the Adelaide Convention Centre. Three bioethicists were asked to reflect on Ethical Challenges Ten Years from Now. This talk focussed not on new issues but on current concerns which will continue to challenge us.

McGovern, Kevin This is a slightly edited version of a talk given on 1 September 2011 at the Catholic Health Australia National Conference at the National Convention Centre in Canberra. The theme of the conference was Remaining True.

In this paper, I argue that, by comparing certain passages from the early Buddhist sūtras and the Mahābhārata , we can find evidence of a late- to post-Vedic “Brahmanical synthesis,” centered on the conception of Brahmā as both supreme Creator God and ultimate goal for transcending saṃsāra , that for the most part did not become a part of the Brahmanical synthesis or syntheses that came to constitute classical Hinduism. By comparing the Buddhist response to this early conception of Brahmā (...) with the way in which Brahmā is treated in certain sectarian portions of the Mahābhārata , I then argue further that the Buddhist critique of Brahmā as supreme deity was in part conceded by the Brahmanical tradition, and sectarian accounts of supreme godhead sought to reconcile pravṛtti and nivṛtti values more subtly than the crude juxtaposition offered by the earlier Brahmanical synthesis offered by Brahmā. The result was that Brahmā was relegated to an inferior position as a fully saṃsāric demiurge, a narrative found first in certain parts of the Mahābhārata and then continued throughout most of the Purāṇas. (shrink)

The vulnerability of participants in Substance Abuse and Mental Health Services Administration (SAMHSA) programs is a consequence of the illnesses that they are experiencing; ethical guarantees must be in place that ensure the dignity of the persons involved in such programs. Dignity is more than an individual concern; it has individual, institutional, and societal dimensions. An ethical framework is proposed that involves the interrelated vulnerabilities and needs of individuals and communities and our societal response to them. Among the issues given (...) particular attention are individual and community stigmatization, target population involvement in program planning, balance with regard to confidentiality and privacy, the place of proportionality grounded in a rich sense of community as a guiding ethical principle, and guidelines for SAMHSA programs. (shrink)

Background: Individuals with schizophrenia spectrum diagnoses have deficient visual information processing as assessed by a variety of paradigms including visual backward masking, motion perception and visual contrast sensitivity (VCS). In the present study, the VCS paradigm was used to investigate potential differences in magnocellular (M) versus parvocellular (P) channel function that might account for the observed information processing deficits of schizophrenia spectrum patients. Specifically, VCS for near threshold luminance (black/white) stimuli is known to be governed primarily by the M channel, (...) while VCS for near threshold chromatic (red/green) stimuli is governed by the P channel. Methods: VCS for luminance and chromatic stimuli (counterphase-reversing sinusoidal gratings, 1.22 c/deg, 8.3 Hz) was assessed in 53 patients with schizophrenia (including 5 off antipsychotic medication), 22 individuals diagnosed with schizotypal personality disorder and 53 healthy comparison subjects. Results: Schizophrenia spectrum groups demonstrated reduced VCS in both conditions relative to normals, and there was no significant group by condition interaction effect. Post-hoc analyses suggest that it was the patients with schizophrenia on antipsychotic medication as well as SPD participants who accounted for the deficits in the luminance condition. Conclusions: These results demonstrate visual information processing deficits in schizophrenia spectrum populations but do not support the notion of selective abnormalities in the function of subcortical channels as suggested by previous studies. Further work is needed in a longitudinal design to further assess VCS as a vulnerability marker for psychosis as well as the effect of antipsychotic agents on performance in schizophrenia spectrum populations. (shrink)

Child abuse is surely the most agonizing psychological issue of our time. We decry the tendency to polarize around the either-or dichotomy of "recovered versus false memories," when both are likely to occur. Memory researchers seem to generalize from the mild, one-shot stressors of the laboratory to the severe repeated traumas reported by abused populations, an inferential leap that is scientifically dubious. Naturalistic studies show some post-traumatic memory impairment ; dissociativity, such as emotional numbing, detachment, and the like; but also (...) increased suggestibility . About 20% of the normal population is highly suggestible, and in these individuals it is trivially easy to show suggested amnesia, detachment, perceptual blocking, etc., as well as to suggest dramatically false memories. It is therefore vital to assess suggestibility and dissociativity in traumatized populations. Adult survivors of abuse may show both more false "memories" and more "false forgetting" than the normal population. (shrink)

In what sense might the authoritarian practices and suspension of legal norms as means to combat the supposed threat of “terrorism,” within and by contemporary western democratic states, be understood as a problem of and not for democracy? That question lies at the heart of this article. It will be explored through the theoretical frame offered in the work of Giorgio Agamben on the state of exception and the example of British state collusion in non-state violence in the North of (...) Ireland. The North of Ireland provides a particularly illuminating case study to explore how the state of exception—the suspension of law and of legal norms and the exercise of arbitrary decision—has increasingly become a paradigm of contemporary governance. In so doing it brings into question not only the traditional conceptualization of the “democratic dilemma” of liberal democratic states “confronting terrorism” but also challenge dominant paradigms of transitional justice that generally fail to problematize the liberal democratic order. After outlining Agamben’s understanding of the state of exception the article will chart the development of “exceptional measures” and the creation of a permanent state of emergency in the North, before critically exploring the role of collusion as an aspect of counter-insurgency during the recent conflict. The paper will argue that the normalization of exceptional measures, combined with the need to delimit the explicitness of constitutional provision for the same, provided a context for the emergence of collusion as a paradigm case for the increasing replication of colonial practices into the core activity of the contemporary democratic state. (shrink)